HomeMy WebLinkAboutBUILDING PERMIT CALCULATIONSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address: 1200 W MIDWAY RD, FORT PIERCE, FL 34982
P roperty Tax I D q: 3404-501-0322-000-0
Site Plan Name:
Project Name:
Lot No.
Block No,
INSTALL AND MAKE FINAL ELECTRICAL CONNECTION TO EXISTING POWER FOR CANOPY GAS
PRICERS EAST AND WEST
New Electrical Meter Second Electrical Meter
Additional work to
be performed under
this permit —check all
that apply:
_Mechanical
_ Gas Tank
_ Gas Piping
_ Shutters
Q✓ Electric
_Plumbing
_Sprinklers
_Generator
Total Sq. Ft of Construction: 48.76
Cost of Construction: $ 4400.00
Name SHUKLA ENTERPRISE INC
Sq. Ft. of First Floor:
_Windows/Doors _Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Address:2300 BELL AVE
City: FORT PIERCE State:_
Zip Code: 34982 Fax:
Phone No.
Fill in
fee
simple
Title Holder on next page
(if different
from
the
Owner
listed above)
Name: STEPHEN M KEMP
Company: KEMP SIGNS &SERVICE INC
Address:1740 HILL AVENUE
City: WEST PALM BEACH State: FL
Zip Code:33407 Fax:561-840-6385
Phone No 561-840-6382
Mail PERMITTING@KEMPSIGNS.NET
State or County License ES0000229
ment
value of construction is 2500 or more, a RECORDED Notice of Comm
If encement is required.
If va1ue o4 HAVC is $7,500 or more, a RECORDED Notice
is required.
4 i F
ED [
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State;
Zip: Phone_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: __Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to Clothe work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a ermit will authorize the ermit holder to build the subject structure
ration
which is in conflict with any applicable Home Owners Assocrules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed or any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St, Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory usesto another non-residential use
WARNING TO OWNER: Yourfallure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be ecorded in the public records of St.
Lucie County and posted on the jobsite before the first Inspection. If intend to obtain financing, consult
with lender or a rn before commencing work or recording Notice of Commencement.
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STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF l
COUNTY OF ghIM 1?JeCLeh
Swy"n to (or affirmed) and subscribed before me of
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Swo�rpto (or affirmed) and subscribed before me of
Ph ce or. Online Notarization
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✓ Physical Presence or. Online Notarization
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Name of person makingstatement. V I
Name of perso n n making stt teoment.
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Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Prod ced
Produced
A
SUSAN
(Signature of Notary P f - �gR4d1aM61onjOGG358153
(Signature of Notary Public- a, p „,or a
o MARIAC PAMIANI
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Commission No. i�A (Seraf]Issionit GG9850a4
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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